The PRAM (Phoenix Royal Aquamaster) is essentially a new inlet fitting and balanced first stage for a DA Aquamaster or Voit Navy (or a Royal Aquamaster, but that's a bit of a sin). It adds 3 HP ports and 3 LP ports and uses the guts out of a Aqualung Titan first stage. The balanced first stage improves performance while the LP and HP ports allow the use of modern accessories such as an octo and power inflator.
The HPR is a new second stage for the above double hose regulators that further gives another slight boost in performance - and it solves some hard to find parts issues.
But along with those developments, the other major major boosts in performance were modern silicone second stage diaphragms, butterfly valves and mushroom valves that along with new wagon wheels further reduce inhalation and exhalation effort.
When I started collecting and diving double hose regs about 15 years ago, new parts were either very rare or non existent and getting an old DH reg back in service meant lots of searching for serviceable parts, or refurbishing unserviceable parts. New hoses came first, then mouthpieces, then the flood gate more or less opened with other repro parts available to make common DH regs like the DA Aquamaster better than new.
It's sort of a golden age for double hose regs - again.
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I have two different problems to deal with.... 1: Using a cheater bar that "MOST" people know nothing about..
2: The fill station where I get air has a explosion proof dry fill cabinet that can only takes single cylinders...
I stopped at a new shop in VA (that I'll leave nameless) a couple years ago and asked the brand new to diving owners how they'd fill doubles in their nice new single tank vault. They replied they'd just have to take them apart and put them back together, but filling them would not be a problem. I looked around and wondered if the structure would really stand the 3442 psi ambient pressure it would take to fill them in that manner. I doubted it.